Mercaptan and thioketal complexes of technetium 99M for diagnostic scanning

ABSTRACT

Chemical complexes containing a radioactive technetium isotope are liver specific when the complexing agent is a lipophilic mercaptan or thioketal. To permit excretion of the complex from the liver into the bile, the lipophilic mercaptan contains a polar group which moderates this lipophilic property. The complexes can be made by reducing pertechnetate ion and reacting the reduced technetium species with the mercaptan or thioketal. The complexes are normally used in a biologically sterile substantially isotonic aqueous medium.

Elite Jackson et al.

atent [1 1 [4 1 Mar. 25, 1975 Lake; Theodore F. Bolles, Woodbury, both of Minn.

[73] Assignee: Minnesota Mining and Manufacturing Company, St. Paul,

Minn.

122] Filed: Aug. 30, 1972 {21} Appl. No.: 285,079

[52] U.S. Cl 424/1, 250/303, 260/429 R, 252/30l.l R [51} Int. Cl A6lk 27/04 [58] Field of Search 424/1; 23/230 B; 250/303; 252/301.1 R; 260/609 R, 632 R, 429 R [56] References Cited UNITED STATES PATENTS 3.725.295 M1973 Eckelman et al. 424/l 3,749,913 7/1973 Halpern et al. 424/1 Primary Examiner-Benjamin R. Padget Attorney, Agent, or FirmAlexander, Sell, Steldt & DeLaHunt [5 7] ABSTRACT Chemical complexes containing a radioactive technetium isotope are liver specific when the complexing agent is a lipophilic mercaptan or thioketal. To permit excretion of the complex from the liver into the bile, the lipophilic mercaptan contains a polar group which moderates this lipophilic property. The complexes can be made by reducing pertechnetate ion and reacting the reduced technetium species with the mercaptan or thioketal. The complexes are normally used in a bio logically sterile substantially isotonic aqueous medium.

13 Claims, No Drawings MERCAPTAN AND THIOKETAL COMPLEXES OF IUM M F R DIAGNQSILC SCAN ING FIELD OF THE INVENTION This invention relates to chemical complexes of technetium. An aspect of this invention relates to chemical complexes of the radioactive, metastable isotope technetium-99m (Tc-99m). A further aspect of this invention relates to complexes of technetium-99m wherein the complexing agent is a lipophilic sulfur-containing compound such as a monoor poly-mercaptan or a monoor polythioketal. A further aspect of this invention relates to a process for producing the chemical complex and a preferred biologically sterile substantially isotonic medium containing the complex. Still another aspect of this invention relates to the use of the processes and products of this invention in studies of liver and/or gallbladder function.

DESCRIPTION OF THE PRIOR ART The art of radiochemistry has found many applications in the fields of medicine and biology. It has long been known that the introduction into an organism of compounds containing (or labeled" with) a radioisotope can provide insight into the anatomy and physiology of the organism. These compounds, generally referred to as radiopharmaceuticals, are particularly useful in diagnostic techniques which involve studying the structure or function of various internal organs, e.g. the brain, with radiation detection means. For diagnostic work, isotopes with a short half life and an emission spectrum rich in gamma rays (as opposed to beta particles) are preferred.

The metastable isotope Tc-99m has a 6 hour half-life and an emission spectrum, 99% gamma radiation at 140 KeV, which is extremely well suited for techniques of diagnostic nuclear medicine. Thus, Tc-99m has a high specific activity, 5.28 X 10 millicuries per gram {me/g), and a conveniently rapid rate of decay; whereas its daughter product, Tc-99, has a specific activity which is almost nine orders or magnitude lower and a half life which is roughly eight orders of magnitude longer. For the organism being studied or diagnosed, the slow rate of decay from the relatively stable, low specific activity Tc-99 to its degradation product (ruthenium) would not normally produce any hazardous amounts of radiation, regardless of the biological means or route of elimination of a Tc-99m radiopharmaceutical. For the researcher or clinician, the emission spectrum of Tc-99m can provide high levels of accuracy in radiodiognostic measurements and calculations. In recent years, Tc-99m has become readily available in hospitals through the use of selective elution from a so-called molybdenum-99 (Mo-99) generator. The isotope Mo-99 produces Tc-99M as a radioactive decay product.

Although Tc-99m compounds would appear to be ideal radiopharmaceuticals for diagnostic use, providing or selecting Tc compounds or complexes with a view toward organ specificity and tolerable levels of toxicity is a complex task. Obviously, compounds with a very low LD 50 are undesirable for human or veterinary use. even in the small amounts called for by diagnostic work. Compounds with insufficient in vivo stability may be poor diagnostic tools, since radioactive ions or other chemical species with insufficient or undesired organ specificity may be liberated. Stable compounds which become distributed generally throughout the organism, despite their stability, or which do not reach a desired destination in the organism are also poorly suited for many studies of organ function or structure, e.g. liver and gallbladder studies. For these studies of organ function, compounds which are specific to an organ, but which are not excreted by it (or if excreted, are easily reabsorbed) are also poor candidates.

The problem of selecting or preparing a liver specific radiopharmaceutical for liver function studies is particularly difficult. Both the liver and the kidney are capable of removing various types of compounds from the body ultimately through excretion in feces and urine, respectively. Any radiopharmaceutical used for this purpose should ideally have liver specificity and 0% kidney specificity. Ideally, the compound should also be readily excreted by the liver into the bile. A number of biological and chemical factors must be considered and brought under control before the desired organ specificity and route of excretion can be obtained. For example, some Tc compounds are easily transformed to TcO which may lodge in the liver but may not be easily excreted.

Technetium-99m compounds have been used in brain or other organ scanning. For example, Tc-sulfur colloid can be used for liver scanning. Organ scanning is useful for studies of organ structure, but gives little insight into organ function. Representative of the literature relating to the radiopharmacology of Tc-99m compounds are the following articles:

Larson et al, 1. Nuclear Medicine, 7:827 (1966), relating to Tc-99m-colloid preparation for photoscanning, and

Tubis et al, International Journal of Applied Radiation and Isotopes, V. 19, 835 (1968), relating to Tc-99m labeled cystine, methionine, and a synthetic polypeptide and their distribution in mice.

Compared to the common transition metals, very little is known about the chemistry of technetium. Technetium belongs to Group VII-B of the Periodic Table; its chemistry bears a superficial resemblance to manganese but tends to be more similar to the higher member of the Group, rhenium. Technetium can apparently exist in a range of oxidation states, including +7 (e.g. pertechnetate) and several lower oxidation states, some of which are difficult to characterize and/or are relatively unstable. In spectrophotometric determinations of technetium, the element has been complexed with toluene-3,4-dithiol, thioglycolic acid, and thiocyanates. See Miller et al, Anal. Chem., Page 404 (1961) and Page 1429 (Oct., 1960), and Crouthamel, Anal. Chem., page 1756 (Dec, 1957).

Accordingly, this invention contemplates providing complexes of Tc-99m which have sufficient in vivo stability and a sufficiently high LD 50 for use in humans or animals and which preferably are:

Removed from the blood or other vital organs or tissues by the liver rather than by, for example, the kidneys or the lungs,

Concentrated in the liver at a high rate.

Concentrated in other organs or tissues particularly organs or tissues in close proximity to the liver at a very low or negligible rate.

Retained for a short period of time by the liver and secreted into the bile,

Removed ultimately from the body by means of a route passing through the gallbladder and intestines to the feces, and

Eliminated from the body by alternative routes, (e.g. kidney bladder urine) to a minor, preferably negligible, extent.

This invention further contemplates means and methods whereby Tc complexes can be most efficiently produced and utilized for liver function studies.

BRIEF SUMMARY OF THE INVENTION Briefly, this invention involves reducing an appropriate amount of radioactive pertechnetate ion 'To,-) until a major amount of the pertechnetate ion has been reduced to a technetium species having an oxidation state greater than but less than +7 and then reacting this technetium species with an excess of one of the subsequently described sulfur-containing complexing agents. The resulting Tc-99m complex is suitable for injection into the blood stream of a mammal when dissolved or dispersed in a biologically sterile aqueous medium substantially isotonic with mammalian body fluids. The reduction step can be carried out chemically through acid catalysis if the complexing agent is also a reducing agent, at least when the complexing agent is present in large excess, as will normally be the case. Preferably, however. reduction is achieved through the use of an additional reducing agent such as a tin (II) salt, an iron (II) salt, a copper (I)/copper (II) couple, or a combination of two or more of these agents.

A meaningful picture of liver function will be obtained by measuring the radioactivity emitted from the liver, gallbladder, intestines, and feces of the organism or patient being studied. It will generally not be necessary to monitor the radioactivity for more than about 24 hours after the injection, and 12 hours of monitoring can be fully sufficient.

Products produced by the previously described process can have the desired liver specificity if the complexing agent belongs to one of the following four classes of sulfur-containing compounds:

A. A lipophilic compound of the formula wherein R and R are the same or different in each repeating unit and can be hydrogen, lower alkyl, or mercapto.

n is an integer ranging from l to about 6. and

X is a mammalian blood-solubilizing polar group which only partially reduces the lipophilic properties of the Tc complex, whereby the complex is readily taken up by the liver in preference to the kidney, despite the X group;

B. A lipophilic compound of the formula HS-A-X wherein A is a cycloaliphatic or heterocyclic aliphatic ring,

and

X is as defined previously;

C. A lipophilic thioenol or thioketal substituted on the thioketalor thioenol-carbon with a water solubilizing group and. on the carbon alpha to the thioketalor thioenol-carbon, with a lipophilic group: and

D. A carbocyclic or heterocyclic aromatic carboxylic, sulfonic, or phosphonic acid bearing a mercapto group substituted more remotely than ortho to the carboxylic, sulfonic, or phosphonic acid group.

DETAILED DESCRIPTION OF THE INVENTION As pointed out previously, complexing agents elected for use in this invention are capable of providing a Tc- 99m liver specific compound which is suitable for inclusion in injectable media substantially isotonic with mammalian body fluids, which in vivo is rapidly removed from the blood or other tissues by the liver, is excreted by the liver into the bile, and therefore into the gut (directly or through the gallbladder), is ex creted completely from the gut into the feces, and is not, to any great extent, removed by other organs nor reabsorbed once excreted by the liver. Thus, selection of complexing agents according to this invention in volves weighing a combination of chemical and biological criteria. Chemical considerations alone do not insure that the compound will have a liver specificity, compatibility with blood or other mammalian body fluids, or the like. The complexing agent, furthermore, cannot be considered in a vacuum apart from the properties of the complex which will result after reaction with technetium. For example, some complexing agents are lipophilic and are eliminated by the liver, but tend to form stable, insoluble complexes with technetium which would not be secreted into the bile.

Despite all these difficulties of predicting utility of potential complexing agents from chemical criteria alone, it has now been found that partition coefficient data of the Tc complexes provides considerable insight into the proper balance of lipophilic and hydrophilic properties characteristic of a good liver specific complex. These partition coefficient studies involve plotting pH vs. the natural logarithm of the ratio of the activity in water to the activity in normal octyl alcohol, hereinafter referred to as ln(a ./a In the pH range of 5 to 8, the complex should not be so lipophilic as to have an ln(a ./a,,) of less than 2, particularly at the higher pH levels. On the other hand, the hydrophilicity must also be kept within limits, as the following table illustrates:

pH Partition Coefficient ln( a la l Maximum Preferred 5 Z l .5 6 2 l .5 7 s 5 8 9 8 X-CH=C(SH)COOH,

where X' is a lipophilic group (cg. a furan moiety). and aliphatic mercaptans containing a water-soluhilizing group. typically of the following structural formula:

wherein R and R are hydrogen or alkyl, preferably methyl,

n is an integer from 1 to 5, preferably 2 to 4 when R and R are hydrogen, and

X can be one of the following groups:

hydroxyl; primary, secondary or tertiary amine, the secondary and tertiary amines being preferably substituted with lower aliphatic groups (the term lower" is used to mean groups with less than 7 carbon atoms);

an alpha-amino acid moiety, provided that the radical CR R contains at least three carbon atoms in any branched or straight chain configuration and/or provided that the carboxylic acid or amine function of the alpha-amino acid moiety is blocked or substituted with an ionizationpreventing radical, e.g. by acylation of the amine;

a carboxylic acid group, provided the CR R radical contains at least three carbon atoms;

an aliphatic chain (preferably containing less than 31 carbon atoms) terminated with a carboxylic acid group and optionally substituted with an additional mercapto (SH) group;

an N-aliphatic substituted hydrazine moiety, wherein the terminal NH is optionally converted to an amide;

an amido group, preferably acetamide or other lower aliphatic amide; and

phenolic groups, provided that the phenolic nucleus contains at least one additional water-solubilizing group (e.g. one of the previously described X groups) in addition to the phenolic hydroxyl.

Thus, in structural formula (I), examples of suitable X radicals include CH COOM;

where Q is a blocking group such as N-acetyl, and M is hydrogen or a pharmaceutically acceptable caty is a positive integer less than 31, preferably less than 6,

M is as defined previously, and

Z is hydrogen or. preferably, a mercapto group. As will be apparent from the foregoing examples, both ionizable (including protonatable) and nonionic X groups can be used, but groups capable of forming zwitterions or other stable internal salt groups are not preferred. Apparently, zwitterions may have a tendency to be removed by the kidney, while aliphatic amines, aliphatic alcohols, and carboxylic acids are less likely to have this tendency.

Typical preferred members of the previously described classes of compounds include: N-acetylpenicillamine (which is greatly preferred to penicillamine itself, since the amine group is blocked), the omega-mercaptoalkanols (Z-mercaptoethanol, 3- mercaptopropanol, and 4-mercaptobutanol), 4- mercapto-Z-methyl-2-butanol, p-mercaptobenzoic acid, Z-mercaptoethylamine, 6,8-dihydrothioctic acid, and alpha-thio-Z-furan pyruvic acid.

The term lipophilic is not an absolute term, but like the terms hydrophilic, aqueous, dispersion," etc., it has well understood meaning; see the DEFlNl- TlONS in Columns 2 and 3 of US. Pat. No. 3,069,370 (Jansen et 211.), issued Dec. 18, 1962.

The term substantially isotonic with mammalian body fluids, as used herein, denotes the situation obtained when the osmotic pressure exerted by the solution in question is sufficiently similar, as compared to a body fluid such as blood, so that no dangerous hypoor hypertonic condition results in the patient or test animal when 0.] ml (in the case ofa mouse) or up to 10 ml (in the case of a human) of the solution is injected into the patients or animals bloodstream.

The exact mechanism by which the complexing agents used in this invention become chemically linked to technetium is difficult to determine. It appears that the Tc-99m should be present primarily in an oxidation state of at least about +3 but not more than +6. This oxidation state can be conveniently obtained by reducing 99m-pertechnetate, a relatively stable +7 technetium species. The reduced species can co-ordinate with one or two sulfur atoms which are in the form of mercaptan groups of the like. Complexing Tc with polymercaptans capable of chelating the Te is preferred for stability; provided, at least one of the previously defined solubilizing (X) groups is present. Nonsolubilized chelates can be liver specific but are not necessarily excreted into the bile; therefore, they are better suited for liver structure studies than liver function studies.

The amount of Tc-99m needed to produce an amount of radiopharmaceutical suitable for most diagnostic or research uses is extremely small and is generally in the range of about 0.01 millicuries per milliliter (me/ml) of 99m pertechnetate solution up to about 500 me per ml of such solution. Only about 0.03 X 10 gram of 99m-pertechnetate dissolved in a milliliter of aqueous medium (e.g. isotonic saline) is needed to provide 0.01 mc/ml, and less than 100 X 10 gram of 99m-pertechnetate per milliliter of solution provides enough radioactivity for most uses. Due to the short half-life of the Tc-99m, it is preferred to prepare small batches of 99m-pertechnetate solution for immediate use. Batches as small as 0.1 ml can be adequate for animal studies (e.g. for injection in mice) and batches as large as 50 ml are convenient for one or more injections in one or a group of human patients. In any event, it would be a rare situation that required more than about 100 X 10"" gram (i.e. about 10 gram-atoms) of Tc99m as pertechnetate ion to produce a few ml of radiopharmaceutical. regardless of stoichiometry of the Te complex. It is preferred to provide enough complexing agent (ordinarily at least 5 X 10 moles per milliliter of reaction mixture) to have an excess over stoichiometry with respect to the Tc99m in the reaction mixture. A large excess of complexing agent (e.g. 0.5 1.000 micromoles of complexing agent per ml of reaction mixture) can be desirable. particularly when the complexing agent itself serves as the means for reducing the oxidation state of pertechnetate.

Combinations of complexing agents or reducing agents can be used to achieve desired effects such as lower toxicity or greater chemical or biological stability.

The Tc-99m used in this invention is obtainable from a Mo-99 generator in the conventional manner. Eluting or milking" the generator with an aqueous medium will provide the 99m-pertechnetate solution in the form of M (99mTcO where M is a pharmaceutically acceptable cation such as a proton. an alkali metal ion. an ammonium ion, or the like, and .t' is a positive integer less than 4. Typically, the aqueous elution medium is a saline solution, which provides sodium 99mpertechnetate.

The pertechnetate ion can be reduced chemically or electrolytically to a lower oxidation state of technetium. preferably by reaction with an oxidizable low valence metal salt such as a tin (ll) salt (e.g. SnCl an iron (ll) salt (e.g. a ferrous salt/ascorbic acid medium), a Cu(l)/Cu( ll) couple. a combination thereof. or other chemical reducing agents such as mercaptans. metal hydrides. thiosulfates. hypophosphites. bromides, iodides. etc. A particularly suitable means for providing the reducing agent and complexing agent is to preformulate a radiopharmaceutical kit for use with the Mo-99 generator. For example. 0.] preferably at least 0.5) to It) ml. of a solution containing about 0.5 to about 1000 ,u. mole/ml of complexing agent and a suitable amount. e.g. 0.0l 100 micromoles/ml of reducing agent can be hermetically and aseptically sealed in separate vials or the same vial. A preservative such as benzyl alcohol is optionally included in the contents of the vial. The solution in the vial is preferably substantially isotonic with mammalian body fluids. e.g. human blood. The contents of the vial can be combined with the pertechnetate-containing, substantially isotonic eluate. mild heat can be applied if necessary to the com bined solutions to achieve the reduction and Tccomplex formation, and the resulting radiopharmaceutical can then be injected into the blood stream of the patient or test animal. Radioactivity measurements are made in the conventional manner for a period from the time of injection until about 24 hours afterwards, depending on the nature of the study or diagnosis. Most studies call for at least one half hour of post injection radioactive measurements. These measurements can be corrected for decay in the usual manner and studied with a view toward obtaining a picture of liver or gallbladder function. If the patient or test animal is placed on an appropriately controlled diet prior to liver uptake of the Tc-99m radiopharmaceutical, the bile. which will contain Tc-99m, will be introduced into the gut by the gallbladder. thus providing an opportunity for cholecystography. The gallbladder will not concentrate the Tc-99m if the patient has ingested fatty foods prior to and after the injection.

The amount of complexing agent injected into a test animal or human patient should preferably be less than 25% (eg less than I071) ofthe LD 50 in mg per kg of body weight. though higher amounts are permissible In veterinary medicine. Typical LD 50s (determined in rodents and at least one other species) for preferred complexing agents of this invention ranged from about 20 to about 500 mg per kg of body weight.

As pointed out in the previous discussion regarding partition coefficients. a balance of lipophilic and hydrophilic properties is preferred for the Tc-complexing agents of this invention. Aliphatic mercapto alcohols. amines. and amides appear to provide this balance through the lipophilic contribution of the aliphatic portion of the molecule and the hydrophilic contribution of the amine or hydroxyl radical. (After complexing with Tc. the mercapto group is probably not sufficiently free to affect the solubility characteristics of the complex.) Aliphatic mercapto amines and amides can be derived from a hydrazine nucleus. so to speak. as in the case of N-methyl.N(2-mercapto ethyl)-N-aceto hydrazine and N-methyLN-(Z-mercapto ethyl)hydra- Zine.

An especially preferred class of complexing agents includes the mercapto-substituted aliphatic carboxylic acids and salts thereof. The mercapto group can be substituted on a primary. secondary. or tertiary carbon atom, as exemplified by 6,8-dihydrothioctic acid (HSC H4CH(SH)C4HBCOOH) thiolactic acid. HSCH(CH.-;)COOH. and N-acetyl penicillamine. Alpha-amino acids (such as penicillamine) having sufficient aliphatic character are marginally operative as complexing agents in this invention. but it is preferred to block the alpha-amino group with. for example. an N-acetyl substituent. Thus. cysteine-Tc lacks sufficient liver specificity and is not useful in this invention.

When optical isomerism is possible. as in the case of dihydrothioctic acid. DL-racemic mixtures are fully op erative in the invention and are easier to synthesize than the individual isomers. If desired. however. racemic mixtures can be resolved by conventional techniques.

A complexing agent of this invention preferably contains one of the aforementioned hydrophilic groups (amine, amide, alcohol. acid. ester, salt. etc.) but need not be water soluble. Dispersible. but substantially water insoluble, complexing agents can be dispersed in water by conventional techniques such as agitation. For example, higher hydrocarbon groups or chains in the complexing agent (eg 6 3 l-carbon saturated or unsaturated aliphatic chains, terminated with a carboxylic acid group or the like), though sharply reducing or preventing the water solubility of the complexing agent, would nevertheless permit the formation of stable aqueous suspensions or emulsions.

Acid, salt, hydroxyl. amino or other polar groups present on the complexing agent molecule can provide a water solubilizing or hydrophilic effect which is reflected in higher in a,,./a,, values. but due regard must be accorded to the variety of fluids. organs and tissues in mammals, each of which can have a distinctively acidic or basic environment. ranging from. for example. the low pH of the stomach to the relatively high pH of the intestines. The blood is on the mildly alkaline side at pH 7.4. Thus. partition coefficient data on the Tc-complexes of this invention are preferably obtained throughout the pH range of 5 to 8. The use of partition coefficient data in pharmacology is well-established; see Andrejus Korolkvas. lzim'nliali of Molecular P/tur- "taco/0g). Wiley (interscience). N.Y.. N.Y.. I970. It has now been found that the water/n-octanol system provides useful data for evaluating lipophilichydrophilic balance of Tc-complexes without in vivo testing. Natural logarithms of partition coefficients are tabluated in several of the Examples which follow.

Due regard should also be given to chelating effects of some water solubilizing groups such as COOH (or other acid groups) or OH. Thus, aromatic mercaptans preferably contain a solubilizing (X) group meta or para to the SH group in addition to or in lieu of ortho- OH or ortho-COOH. A solubilizing group substituted on a second fused or independent aromatic ring serves the same purpose as the meta or para X group.

When the complexing agents of this invention are combined with an oxidizable low valence metal salt, the salt can be added to a water solution of the complexing agent. For example, dihydrothioctic acid can be dissolved in a sodium bicarbonate-water solution and a reducing agent comprising an excess over stoichiometry of SnCl .2H O

dissolved in ethanol can then be added to the solution. After the complexing and reducing agents have been combined. 99m sodium pertechnetate can be added. Agitation at a normal ambient temperature (25C.) will initiate the reduction step, and over 50% (in practice, more than 80%) of the pertechnetate ion will be in reduced form after less than an hour at this ambient temperature. The extent of reduction can be determined with thin layer chromatography (T.L.C.) and radiation monitoring, since T00 and its reduced-and-complexed form have distinctly different R, values if the chromatogram is developed with properly selected solvents.

if the oxidizable low valence metal salt is omitted, the sodium pertechnetate eluate can be reacted with HBr to form H TcBr This reaction is preferably carried out by repeatedly evaporating the eluate in the presence of 0.lN (up to concentrated) HBr or using a dry. inert gas such as nitrogen. The H TcBr can be extracted with acetone, reacted with an excess of the mercaptan complexing agent in a non-aqueous medium to form the Tc-complex, and then worked up in saline solution or the like. Further pH changes can be used, if necessary to dissolve the Te complex. The substantially isotonic radiopharmaceutical is then ready for injection.

The distinct R, values of novel Tc-mercaptan compounds or complexes produced according to this invention can reliably characterize these compounds so that they are distinguished from their precursors. Since only minute amounts of complexes of Tc can be produced. analysis of the complex by any method other than T.L.C. is extremely difficult at best. To reproducibly determine the R, values. thin layer chromatographs can be made from appropriate solutions and a standardized chromatogram sheet. Reproducible results have been obtained with unactivated I00 micron-thick silica gel chromatogram sheets having a polyvinyl alcohol binder and a neutral pH. One commercially available form of such a chromatogram is obtainable from Eastman Kodak Company as EASTMAN CHROMA- GRAM Sheet 6060. described in the references noted in Kodak Publication Number J.l-7. available from Eastman Kodak Company.

Several thin layer chromatograms can be made and averaged as a double check on the experimental error inherent in the R but generally this error is very small. The chromatograms are developed with polar solvent systems such as ethanolzwaterzammonium hydroxide. as described subsequently.

The invention is illustrated by the non-limiting Examples which follow.

EXAMPLE 1 Tc Dihydrothioctic Acid, Preparation and Distribution in Mice One microliter of DL-6,8-dihydrothioctic acid (hereinafter referred to as DHT)* was placed in an evacuated N flushed pharmaceutical vial. One ml of water and 1.3 molar-equivalents NaHCO (based on eq. of COOH) were added and the sample shaken vigorously to dissolve the DHT. Twenty-five microliters of absolute ethyl alcohol containing enough SnCl .2H O to provide 10 micrograms of Sn (ll) were added. Four ml of Na "TcO (0.93 millicurie 99m Tc) were added, the vial vigorously shaken, then allowed to stand for l6 minutes at normal ambient temperature. Analysis with thin layer chromatography (T.L.C.) using anhydrous acetone and an EASTMAN CHROMAGRAM 6060 (described subsequently) showed 0.3% unreacted 99m pertechnetate. *(DHT is disclosed in Wagner et al. J. Amer. Chem. Soc. 33. 5079 (I956).

The solution was diluted to 4 microcuries of 99m Tc per ml and 0.1 ml of this solution was injected. i.v. (in-,

TABLE IA Distribution of 99mTc from Dihydrothioctic Acid 99mTe Mcrca tide in Mice as a Function 0 Time Percent of Total injected 99mTc as a Function of Time* "Activity corrected for radioaethe decay and counting el'lieienc for each organ. Subsequent studies showed that the percentages in Table lA. in absolute terms. are subject to a large experimental error. but ne\erthele.ss are \ery useful as relative values.

tines were assayed as two samples and the carcass of four samples due to the relatively large volumes of these samples.

The preparation of the 99mTc-DHT complex was optimized by following the previously outlined procedure but with the following amounts of the reactants:

DHT 2.3 mg

Stannous ion 20 micrograms NaHCO 0.06 millimoles 99mTcO. solution 4.5 ml. containing 10 me 99mTc.

The reaction was run at ambient temperature for minutes prior to dilution of the reaction medium to 4 microcuries/ml for injection into the mice. The results are reported in Table l-B.

system over the pH range of 5 to 8 using radioactive measurements to determine the amount of Tc-99m in each phase. The expression a,,-/a is the ratio of the ac tivity in water to the activity in n-octyl alcohol. For

5 comparison. partition coefficients over the same pH range were determined for sodium 99m pertechnetate and cysteine (HSCH- ,CH(NH )COOH). The results are reported in Table 11.

TABLE 11 Ln of Partition Coefficients vs. pH

The natural logarithms in the above Table are accurate to :05. The 1n(a,,/a,,) curve for the Tc-DHT complex reflects a marked dependence of partition coefficient upon pH. Although this invention is not bound by any theory. it is believed that the free acid (-COOH) 2 form of the DHT-Tc complex is lipophilic and soluble TABLE 18 Further 99mTc-DHT Studies in Mice Organ Percentage of Total Injected 99mTc as a Function of Time** 5 min. 0.5 hr. 1 hrv 2 hr. 4 hr. 6 hr. 24 hr.

Lungs 1.33 0.70 0.49 0.27 0.06 0.04 0.01

L069 10 I4 1014 10.20 10.06 10.04 I004 Liver 62.9 45.4 27.4 11.8 6.26 4.46 1.64

:57 :10 9 :60 21.09 $1.16 1057 Spleen 0.14 0.09 0.04 0.03 0.01 0.01 0.09

20.06 10.04 20.01 10.03 t0.0| I0.0| 20.17 Kidneys 5.37 2.76 1.23 1.53 0.89 0.80 037 I137 1024 2.063 I101 10.29 1024 10.41 Stomach 0.41 0 40 0.34 0.70 0.34 0.63 0.06

20.47 10.14 10.39 10.73 10.20 10.43 10.09 lntestines 7.37 29.4 35.7 43.9 28.9 19.3 0.83 10.71 14.0 14.8 17.6 I146 I169 10.31 Carcass 21.0 9.83 6.83 4.39 1.47 1.33 1.19 :79 :1.89 :1 44 I474 10.83 :10) :157 Urine and Feces* 1.49 11.3 26.9 37.4 62.1 73.4 95.8

B; difference "rhernge of 6 studies These studies clearly show the removal of the 99mTc complex from the blood by the liver and its excretion into the intestine and finally out in the feces.

T.L.C. analysis of the Tc-dihydrothioctic acid (Tc- DHT) complex was carried out as follows:

in cell membranes. while the carboxylic acid salt form is soluble both in blood and non-biological aqueous media. It is further theorized that the observed in vivo performance of the DHT-Tc complex is due in part to the solubility of the free acid form in cell membranes and the apparent ability of this species to pass easily from the blood to the bile. Fortunately. this capability does not appear to detract from the compatibility of the sq salt form with aqueous media.

Technetium complexes or species with partition coefficient data outside the "maximum" range described previously (e.g. pertechnetate ion and 99mTccysteine) have also been studied in vivo and found to have insufficient liver or gallbladder specificity to be useful in the preferred type of organ function studies contemplated by this invention.

EXAMPLE 2 Gamma Ray Monitoring in Anesthetized Dog To a pharmaceutical vial containing 1.0 microliter of DL-6,8-dihydrothioctic acid was added 1.0 ml 0.0067 normal NaHCO The sample was vigorously shaken to dissolve the dihydrothioctic acid. Twenty-five microliters of absolute ethyl alcohol containing micrograms Sn (II) as SnCl .2H O was added. Then 2.31 millicuries Na 99mTcOf eluate in 4 ml saline was added. After minutes at room temperature, a thin layer chromatogram was run with anhydrous acetone according to the method outlined in Example 1, and 2.1% unreacted 99m-pertechnetate was found.

Liver imaging, analysis of liver function, and cholecystography were carried out by intravenous injection of 4l2 microcuries in 1.0 ml of this solution into an anesthetized, fasted dog positioned with its liver under a gamma camera. The output of the gamma camera was attached to a computer so the data could later be played back, displayed, photographed and analyzed. At a period of minutes post-injection, the liver was clearly visualized. As time passed, the 99mTc could be seen to concentrate in the gallbladder region until at 150 minutes post-injection, the ratio of activity per 100 cells over the gallbladder region was 12.6 times that over the liver. After 180 minutes, a gallbladder stimulus comprising 2 dog units/Kg of cholecystokinin was administered. Within 20 minutes the activity/I00 cells over the gallbladder region had dropped to 33 percent of its value at 150 minutes.

EXAMPLE 3 Part A Preparation of 4-Mercapto Butanol 4 mercapto butanol was prepared as follows:

0 0 ll 0 ll CH -CH-CH CH OH CH -C SH-) CH 0 (1) come. 55 NH oa CH C-S(CH OH 3 2 q (2) extract w/Et O 4.] l0 gm. CH CHCH CH OH* plus 4.772 gm.

H3-C-SH were sealed in a 20 ml pharmaceutical vial which was then evacuated. flushed with oxygen and vigorously shaken. After approximately 2 minutes, the vial became spontaneously hot. After the vial cooled, its was analyzed by G.L.C. (gas-liquid chromatography) and found to have CH at.) S(CH OH present in 87.7% purity. *(ommercially available from Aldrich Chemical Co.. Inc.

Twenty ml conc. NH,OH was added and the sample was vigorously shaken. The HS(CH OH was exlractcd with diethyl ether (Et O) which was dried over (1180. and the ether evaporated in vacuo. The 4.779 gm. of isolated product was found to be 87.4% pure 4- mcrcaptohutanol by G.L.C.

Part B 4-Mercaptobutanol-99m Tc Mercaptide One ml of Na" 99m TcOf was evaporated three times with 1 ml 48% HBr under a stream of nitrogen on a steam bath. The Hf TcBn, was extracted with 3 ml acetone. To 0.7 ml of this solution there was added I ml 0.03M HS(CH OH in acetone.

After 10 minutes at room temperature, 1 ml saline was added and the acetone removed on a steam bath under a stream of nitrogen. An additional 1 ml of saline was added and the solution further diluted with saline to 4 microcurie 99m-Tc/ml. One-tenth ml of this solution was injected in each of six female Swiss Webster white mice, each mouse weighing approximately 20 g. The mice were sacrificed at periods of 0.25, 0.5, l.0, 2.0, 4.0, and 24.0 hours. The organs were isolated and the distribution of 99m Tc determined. To a large extent, the agent was rapidly removed from the blood by the liver and excreted in the bile into the intestines and ultimately out in the feces.

The T.L.C. (thin layer chromatography) analysis of the 99m-Tc-4-mercaptobutanol complex was carried out with unactivated, 100-micron thick, silica gel/- polyvinyl alcohol, neutral pH chromatograms (EAST- MAN CHROMAGRAM 6060) as in Example l. The solvents were: anhydrous acetone and anhydrous methanol. Results were:

TABLE III Ln of Partition Coefficients vs pH pH In (a -la [average of 2 runs] These data indicate good lipophilicity and adequate compatibility with aqueous media throughout the pH range.

EXAMPLE 4 4-Mercaptobutanol-99mTc Complex Distribution in Mice One ml of 3N HCl, 0.5 ml ethyl alcohol. mg. benzyl alcohol and 45 mg HS(CH OH were placed in a 20 ml pharmaceutical vial which was sealed and put under an atmosphere of N ONe ml of 99m TcOf eluate and 6.5 ml saline were added. The sample was After 10 minutes. i ml of saline was added, and the acetone was evaporated under a stream of N One ml of saline was added plus one drop 2N NaOH to yield pH of 9. The solution was injected i.v. in the tail vein of six.

heated 10 minutes on the steam bath. then cooled to 5 approximately 20 gram. female Swiss Webster mice. room temperature and 3.5 ml of (86.6 mg/ml) sodium The mice were sacrificed at appropriate periods of acetate in water were added. The sample was diluted to time. The organs were isolated and the activity distribu- 4 microcuries/ml and 0.1 ml of this solution was in tion determined. This distribution, shown in Table V, jected i.v. (intravenous) in each of seven (approxiclearly shows the removal of the technetium complex mately 20 gm) female Swiss Webster white mice. At from the blood by the liver. followed by excretion of appropriate time periods the mice were sacrificed. their the technetium complex in the bile into the intestines organs isolated and assayed for 99m Tc activity in a and ultimately excretion in the feces. This constitutes gamma spectrometer. The values were corrected for a liver function test. the kinetics which can be followed radioactive decay, and counting efficiency compared in a human patient for example. by using a gamma camto 0.1 ml standards of the solution. This data. shown in era or a rectilinear scanner. Table ll. clearly shows the concentration of 99m TC in *commerciully available from Aldrich Chemical Co. Inc.

TABLE V Distribution of 99m Tc from alpha-thio-Z-furan Pyruvic Acid 99m Tc Mercaptidc in Mice as a Function of Time Percent of Total 99m Tc in Mice as a Function of Timc* Organ 0.25 hr. 0.5 hr. 1 hr. 2 hr. 4 hr. 24 hr.**

Lungs 3.25 L85 0.76 0.97 0.38 0.26

Liver 48.7 42.4 34 3 31.7 23.9 9.31

Kidneys 4.04 4 34 3.49 3.85 3.13 3.58

Stomach (1.64 14.42 5.89 7.69 2.04 0.00

intestines I08 I03 26.5 35.9 63.] 1.69

Pancreas 0 84 0,40 0.26 0.34 0.09 1.00

Carcass '15 XI 26,: 2X 7 19.8 7.l6 4.33

the liver followed by its excretion into the intestines and out in the feces and constitutes a useful liver function test.

TABLE IV Distribution of 99m Tc from HS(CH ,OH 99m Tc Mcrcaptidc In Mice 11s a Function of Time Percent of Total il'tlLCICd 99m Tc as a Function of Time Organ 0 5 hr l hr hr, 6 hr. 24 hr.

Lungs 4.40 1 07 0.86 Obi 0.41 0.36 0.41 LHCI' 30.20 23.03 1x40 l6.()6 11.34 1219 10.78 Spleen 0.19 0.18 0.14 0.15 0.10 0.11 0.00 Kidncts 7.3x 2.51 1.90 L68 1.18 1.03 0.6l Stomach 0 145 0.86 1.10 0.54 (1.86 034 L66 Intestine-s 10.42 37 70 31.41 18.41 10.93 2.36 10.32 Bladder 0.05 0.04 0.03 0.02 0.02 0.00 0.01 Pancreas 0 77 0.15 0. II 0.23 0. I t) 0. it) 0.00 Carcass 41.35 I411 [080 |l.56 7.86 (1.70 h 74 Set: NUTL' to liiblc l In Fxumplc l EXAMPLE 5 TABLE VI (X-ThlO-Z'FUI'ZIH Pyruvic Acid 99m Tc Complex In of Partition vfficients As in prev1ous Example 3. l m1ll1cur1e 99m TcO; 1n

1 ml eluate from a generator was evaporated to dryness P n/ under a stream of N three times with l ml of48'/r HBr. s 0 I U The H TcBr residue was extracted with 3 ml ofdry ac- (i 0 1.1 etone. One ml of this solution was added to l ml of0.03 :1

molar alpha-thio-Z-furan pyruvic acid* in acetone.

EXAMPLE 6 Partition Coefficients of 99mTc-Aliphatic Mercapto Alcohol Complexes TABLE Vll Partition Coefficients of Tc-99m Complexes Complexing ln a /a At Various pH Levels Agent pH= pH=o pH=7 pH=8 2-mercapto-ethanol 0.9 0.8 0.7 0.6 3-mercapto propanol 05* (l.4* ().3* 02* S-mercapto pentanol 0.2 0.] ().I 0.0 4-mercat to- I-methy l.() l.l l.2 +1.3 Z-hutanol Awnigt: of mo runs Partition coefficients in the above table have the same level of accuracy as those of Tables II and VI.

The C and higher mercapto aliphatic alcohols were prepared from the appropriate unsaturated alcohols by the method of Example 3(A), i.e. by formation and cleavage of the S-acetyl group and extraction of the product with ether. Thus, 3-mercaptopropanol was prepared from allyl alcohol, 5-mercaptopentanol from 4-penten-l-ol. and 4-mercapto-2-methyl-2-butanol from 2methyl-3-buten-2-ol.

EXAMPLE 7 99mTc-Para-Mercapto-Benzoic Acid 99mTc-2-Mercapto-Ethylamine A. The compound para-aminobenzoic acid was substituted for ortho-aminobenzoic acid in the method outlined in Org. Syn. Collection, Vol. ll, page 580. (Para-aminobenzoic acid is commercially available.) The QQmTc-p-mercaptobenzoic acid complex was prepared using sodium 99m pertechnetate and HBr, as in Example 3(8). The complex was assayed by intravenous injection into the tail vein of Swiss Webster mice, as in Examples l and 4. the animals being sacrificed at 0.25. 0.5, l. 2. 4, and 24 hours. The assay indicated rapid uptake by the liver and rapid excretion by the liver into the gut. Uptake by the lungs, kidneys, and stomach did not detract significantly from liver specificity.

B. The 99mTc complex of the compound 2-mercaptoethylamine was prepared from reduced sodium 99m pertechnetate. Using the Swiss Webster mice assay. outlined previously. this complex was found to be liver specific and rapidly excreted by the liver into the gut.

What is claimed is:

l. A process for making a reaction product which can be liver specific in vivo comprising the steps of:

a. reducing a solution comprising at least 0.0] but less than 500 millicuries per milliliter of 99mpertechnetate ion until more than 50 mole of said 99m-pertechnetate ion has been reduced to a 99m-technetium species having an oxidation state greater than zero but less than +7.

b. reacting said 99m-technetium species with an excess, regardless of the stoichiometry of the resulting product, of a sulfur-containing compound selected from the group consisting of:

A. a lipophilic compound of the formula wherein R and R are the same or different in each repeating unit and are selected from the group consisting of hydrogen, lower alkyl, and SH,

n is an integer ranging from 1 to about 6, and X is a mammalian blood-solubilizing polar group which only partially detracts from the liver specific and lipophilic properties of the said resulting reaction product; B. a lipophilic compound of the formula where A is a cycloaliphatic or heterocyclic aliphatic ring and X is as defined previously;

C. a lipophilic thioenol or thioketal substituted on the thioketalor thioenol-carbon with a water solubilizing group and, on the carbon alpha to the thioketalor thioenol carbon, wtih a lipophilic group; and

D. a carbocyclic or heterocyclic aromatic carboxylic, sulfonic, or phosphonic acid bearing a mercapto group substituted more remotely than ortho to the carboxylic, sulfonic, or phosphonic acid group.

2. A process according to claim 1 wherein said sulfurcontaining compound is itself used to chemically reduce the 99m pertechnetate compound, thereby combining said reducing step and said reacting step.

3. A process according to claim 1 wherein said sulfurcontaining compound is selected from the group consisting of A. HS CR R X wherein R and R are the same or different and are selected from the group consisting of hydrogen and methyl,

n is an integer ranging from 1 to 5, and

X is selected from the group consisting of OH- where R is hydrogen or methyl;

NH-COCH where M is a pharmaceutically acceptable cation; N(CH=;) NHCOCH NHCOCH N(CH3) NH2 (lat-(- CH2 a; coo rf where M is as defined previously. Z is hydrogen or mercapto. and y is a positive integer less than 31'. and

l ArOH,

where Ar is an aromatic nucleus. and X is as defined in Claim 1'. B. the compound l ca c COOH,

selected from the group consisting of a tin (ll) salt. an

iron (ll) salt. a Cu(l)/Cu( ll) couple. and combinations thereof.

6. A process according to claim 2 wherein said process is acid-catalyzed.

7. A process according to claim 1 wherein said 99mpertechnetate ion is derived from the dissociation of a salt of the formula M(TcO wherein M is a pharmaceutically acceptable cation having a valence of and .r is a positive integer less than 4.

8. A process according to claim 1 wherein 0.1 10 ml. of an aqueous solution of the reaction product obtained from step (b) is injected into the blood stream of a living mammal.

9. A process according to claim 1 wherein X is selected such that the natural logarithm of the partition coefficient of the resulting reaction product. expressed as the natural logarithm of the ratio of the activity in water to the activity in n-octyl alcohol, has the following values:

less than 2 at a pH of 5 to 6 less than 5 at a pH of 7, and

less than 9 at a pH of 8.

10. A process according to claim 9 wherein said natural logarithm of said ratio is at least -2 at a pH of 6 and is less than 8 at a pH of 8.

11. A process according to claim 8 wherein said excess of sulfur-containing compound does not exceed 25% of the LD 50 in rodents and in at least one other species and wherein said solution is substantially isotonic.

12. A liver specific 99mTc/6,8-dihydrothioctic acid complex, said complex being characterized by the following R, values determined by thin layer chromatography on a I00 micron-thick, unactivated. neutral pH silica gel chromatogram sheet. wherein the silica gel of said chromatogram sheet is bound together with polyvinyl alcohol:

R 0. when said chromatogram is developed with anhydrous acetone;

R 0.66, when said chromatogram developed with a solvent system consisting of ethanol:water:concentrated ammonium hydroxide in the volume/- volume/volume ratio of :17:16.

13. A liver specific 99mTc/4-mercaptobutanol complex, said complex being characterized by the following R, values determined by thin layer chromatography on a 100 micron-thick. unactivated, neutral pH silica gel chromatogram sheet. wherein the silica gel of said chromatogram sheet is bound together with polyvinyl alcohol:

R, 0. when said chromatogram is developed with anhydrous acetone;

R, 0.69. when said chromatogram is developed with anhydrous methanol.

l :i: =i 

1. A PROCESS FOR MAKING A REACTION PRODUCT WHICH CAN BE LIVER SPECIFIC IN VIO COMPRISING THE STEPS OF: A. REDUCING A SOLUTION COMPRISING AT LEAST 0.01 BUT LESS THAN 500 MILLICURES PER MILLILITER OF 99M-PERTECHNETATE ION UNTIL MORE THAN 50 MOLE % OF SAID 99M-PERTECHNETTATE ION HAS BEEN REDUCED TO A 99M-TECHNETIUM SPIECES HAVING AN OXIDATION STAGE GREATER THAN ZERO BUT LESS THAN +7 B. REACTING SAID 99M-TECHNETIUM SPECIES WITH AN EXCESS, REGARDLESS OF THE STOICHIOMETRY OF THE RESULTING PRODUCT OF A SULFUR-CONTAINING COMPOUND SELECTED FROM THE GROUP CONSISTING OF: A. A LIPOPHILIC COMPOUND OF THE FORMULA HS - CR1R2 -NX WHEREIN R1 AND R2 ARE THE SAME OR DIFFERENT IN EACH REPEATING UNIT AND ARE SELECTED FROM THE GROUP CONSISTING OF HYDROGEN, LOWER ALKYL, AND -SH, N IS AN INTEGER RANGING FROM 1 TO ABOUT 6, AND X IS A MAMMALIAN BLOOD-SOLUBILIZING POLAR GROUP WHICH ONLY PARTIALLY DETRACTS FROM THE LIVER SPECIFIC AND LIPOPHILIC PROPERTIES OF THE SAID RESULTING REACTION PRODUCT; B. A LIPOPHILIC COMPOUND OF THE FORMULA HS - A - X WHERE A IS A CYCLOALIPHATIC OR HETROCYCLIC ALIPHATIC RING AND X IS AS DEFINED PREVIOUSLY; C. A LIPOPHILIC THIOENOL OR THIOKETAL SUBSTITUTED ON THE THIOKETAL- OR THIOENOL-CARBON WITH A WATER SOLUBILIZING GROUP AND, ON THE CARBON TO THE THIOKETAL- OR THIOENOL CARBON WITH A LIPOPHILIC GROUP; AND D. A CARBOCYCLIC OR HETEROCYCLIC AROMATIC CARBOXYLIC, SULFONIC, OR PHOSPHONIC ACID BEARING A MERCAPTO GROUP SUBSTITUTED MORE REMOTELY THAN ORTHO TO THE CARBOXYLIC, SULFONIC OR PHOSPHONIC ACID GROUP.
 2. A process according to claim 1 wherein said sulfur-containing compound is itself used to chemically reduce the 99m pertechnetate compound, thereby combining said reducing step and said reacting step.
 3. A process according to claim 1 wherein said sulfur-containing compound is selected from the group consisting of A. HS - CR3R4 -n X wherein R3 and R4 are the same or different and are selected from the group consisting of hydrogen and methyl, n is an integer ranging from 1 to 5, and X is selected from the group consisting of -OH;-NR22, where R2 is hydrogen or methyl;
 4. A process according to claim 3 wherein said sulfur-containing compound is selected from the group consisting of N-acetyl-penicillamine, 2-mercaptoethanol, 3-mercaptopropanol, 4-mercaptobutanol 4-mercapto-2-methyl-2-butanol, 2-mercaptoethylamine, 6,8-dihydrothioctic acid, alpha-thio-2-furan pyruvic acid, p-mercaptobenzoic acid, and mixtures thereof.
 5. A process according to claim 1 wherein said reducing step is carried through the use of a reducing agent selected from the group consisting of a tin (II) salt, an iron (II) salt, a Cu(I)/Cu(II) couple, and combinations thereof.
 6. A process according to claim 2 wherein said process is acid-catalyzed.
 7. A process according to claim 1 wherein said 99m-pertechnetate ion is derived from the dissociation of a salt of the formula M x(TcO4 )x wherein M x is a pharmaceutically acceptable cation having a valence of x, and x is a positive integer less than
 4. 8. A process according to claim 1 wherein 0.1 - 10 ml. of an aqueous solution of the reaction product obtained from step (b) is injected into the blood stream of a living mammal.
 9. A process according to claim 1 wherein X is selected such that the natural logarithm of the partition coefficient of the resulting reaction product, expressed as the natural logarithm of the ratio of the activity in water to the activity in n-octyl alcohol, has the following values: less than 2 at a pH of 5 to 6 less than 5 at a pH of 7, and less than 9 at a pH of
 8. 10. A process according to claim 9 wherein said natural logarithm of said ratio is at least -2 at a pH of 6 and is less than 8 at a pH of
 8. 11. A process according to claim 8 wherein said excess of sulfur-containing compound does not exceed 25% of the LD 50 in rodents and in at least one other species and wherein said solution is substantially isotonic.
 12. A liver specific 99mTc/6,8-dihydrothioctic acid complex, said complex being characterized by the following Rf values determined by thin layer chromatography on a 100 micron-thick, unactivated, neutral pH silica gel chromatogram sheet, wherein the silica gel of said chromatogram sheet is bound together with polyvinyl alcohol: Rf 0, when said chromatogram is developed with anhydrous acetone; Rf 0.66, when said chromatogram developed with a solvent system consisting of ethanol:water:concentrated ammonium hydroxide in the volume/volume/volume ratio of 95:17:16.
 13. A liver specific 99mTc/4-mercaptobutanol complex, said complex being characterized by the following Rf values determined by thin layer chromatography on a 100 micron-thick, unactivated, neutral pH silica gel chromatogram sheet, wherein the silica gel of said chromatoGram sheet is bound together with polyvinyl alcohol: Rf 0, when said chromatogram is developed with anhydrous acetone; Rf 0.69, when said chromatogram is developed with anhydrous methanol. 